Although telephone care has been reported with various patient populations, telephone-based interventions usually are described as part of multimethod treatments-combined with support group activities or home visits,for example-such that the separate effects of the telephone-based intervention cannot be assessed. This article describes the design, implementation, and outcomes of a pilot study to determine the feasibility and effectiveness of telephone-based skill buildingfor reducing caregiving stress and improvingfamily caregiver coping and adaptation around home carefor a dementia patient.
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References
1.
American Association of Retired Persons (AARP) and the Travelers Foundation
. (1988). A national survey of caregivers: Afinal report. Washington, DC: AARP.
2.
Chiverton, P.
, & Caine, E. (1989). Education to assist spouses in copingwith Alzheimer's disease: A controlled trial. Journal of the American Geriatrics Society, 37,593-598.
3.
Cohen, S.
, Mermelstein, R., Karmack, T., & Hoberman, H. (1985). Measuring the functional components of social support. In I. G. Sarason & B. R Sarason (Eds.), Social support: Theory, research and applications (pp. 73-94). Boston: Martinus Nijhoff.
4.
Davis, L.
(1997). Family conflicts around dementia home care. Families, Systems & Health, 15,85-98.
5.
D'Zurilla, T.
, & Nezu, A. (1982). Social problem-solving in adults. In P. C. Kendell (Ed.), Advances in cognitive-behavioral research and therapy (Vol. 1). New York: Academic Press.
6.
Ferris, S.
, Steinberg, G., Shulman, E., Kahn, R., & Reisberg, B. (1987). Institutionalization of Alzheimer's disease patients: Reducing precipitating factors through family counseling. Home Health Care Services Quarterly, 8, 23-51.
7.
Folstein, M.
, Folstein, S., & McHugh, P. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
8.
Gallagher-Thompson, D.
, & Steffen, A. (1994). Comparative effects of cognitive-behavioral and brief psychodynamic psychotherapies for depressed family caregivers. Journal of Consulting and Clinical Psychology, 62, 543-549.
9.
Goodman, C.
, & Pynoos, J. (1990). Amodel telephone information and support program for caregivers of Alzheimer's patients. Gerontological Society of America, 30, 399-404.
10.
Greene, V.
, & Monahan, D. (1987). The effects of a professionally guided caregiver support and education group on institutionalization of care receivers. The Gerontologist, 27,716-721.
11.
Hagopian, G.
, & Rubenstein, J. (1990). Effects of telephone call interventions on patient's well-being in a radiation therapy department. Cancer Nursing, 13, 339-344.
12.
Haley, W E.
, Levine, E. G., Brown, S. L., & Bartolucci, A. A. (1987). Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers. Psychology and Aging, 2, 323-330.
13.
Hanser, S.
, & Thompson, L. (1994). Effects of a music therapy strategy on depressed older adults. Journal of the American Geriatric Society, 49, 265-269.
14.
Heitzmann, C.
, & Kaplan, R. (1988). Assessment of methods for measuring social support. Health Psychology, 7,75-109.
15.
Kiyak, H.
, Teri, L., & Borson, S. (1994). Physical and functional health assessment in normal aging and in Alzheimer's disease: Self-reports vs. family reports. The Gerontologist, 34, 324-330.
16.
Levy, J.
, Rosenkrans, J., Lamb, G., Friedman, M., Kaplan, D., & Strasser, P. (1979). Development and field testing of protocols for the management of pediatric telephone calls: Protocols for pediatric telephone care. Pediatrics, 64, 558-563.
17.
Marcus, A. C.
, Reeder, L. G., Jordan, L. A., & Seeman, T. E. (1980). Monitoring health status, access to health care, and compliance behavior in a large urban community: A report from the Los Angeles health survey. Medical Care, 18, 253-265.
18.
Mamon, J.
, Steinwachs, D., Fahy, M., Bone, L., Oktay, J., & Klein, L. (1992). Impact of hospital discharge planning on meeting patient needs after returning home. Health Services Research, 27, 155-175.
19.
Mittelman, M.
, Ferris, S., Steinberg, M., Shulman, E., Mackell, J., Ambinder, A., & Cohen, J. (1993). An intervention that delays institutionalization of Alzheimer's disease patients: Treatment of spouse-caregivers. The Gerontologist, 33, 730-740.
20.
Montgomery, R.
, & Borgatta, E. (1989). The effect of alternative support strategies on family caregiving. The Gerontologist, 29,457-464.
21.
Nezu, A.
, & Perri, M. (1989). Social problem-solving therapy for unipolar depression: An initial dismantling investigation. Journal of Consulting and Clinical Psychology, 57, 408-413.
22.
Parkerson, C., Jr.
, Michener, J., Wu, L., Finch, J., Broadhead, W., Muhlbaier, L., Magruder- Habib, K., Helms, M., Kertesz, J., Clapp-Channing, N., &Jokerst, E. (1989). The effect of a telephone family assessment intervention on the functional health of patients with elevated family stress. Medical Care, 27, 680-693.
23.
Pearlin, L.
, Mullan, J., Semple, S., & Skaff, M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30,583-594.
24.
Pinkston, E.
, Linsk, N., & Young, R. (1988). Home-based behavioral family treatment of the impaired elderly. Behavior Therapy, 19,331-344.
25.
Quayhagen, M.
, & Quayhagen, M. (1989). Differential effects of family-based strategies on Alzheimer's disease. The Gerontologist, 29, 150-155.
26.
Quayhagen, M.
, Quayhagen, M., Corbeil, P., Roth, P., & Rodgers, J. (1995). A dyadic remediation program for care recipients with dementia. Nursing Research, 44, 153-159.
27.
Robinson, K.
(1988). A social skills training program for adult caregivers. Advances in Nursing Science, 10, 59-72.
28.
Select Committee on Aging, U.S. House of Representatives
. (1987). Exploding the myths: Caregiing in America (Committee Publication No. 99-611). Washington, DC: U.S. Government Printing Office.
29.
Seltzer, M.
, Irvy, J., & Litchfield, L. (1987). Family members as case managers: Partnerships between the formal and informal support networks. The Gerontologist, 277, 722-728.
30.
Sheehan, N.
, & Nuttall, P. (1988). Conflict, emotion and personal strain among family caregivers. Family Relations, 37,92-98.
31.
Stone, R.
, Cafferata, G., & Sangl, J. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 29, 438-448.
32.
Strasser, P. H.
, Levy, J. C., Lamb, G. A., & Rosekrans, J. (1979). Controlled clinical trial of pediatric telephone protocols. Pediatrics, 64,553-557.
33.
Teri, L.
, Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P. (1992). Assessment of behavioral problems in dementia: The Revised Memory and Behavior Problems Checklist. Psychology and Aging, 7,622-631.
34.
Teri, L.
, & Uomoto, J. (1991). Reducing excess disability in dementia patients: Training caregivers to manage patient depression. Clinical Gerontologist, 10, 49-63.
35.
Teri, L.
, & Wagner, A. (1991). Assessment of depression in patients with Alzheimer's disease: Concordance between informants. Psychology and Aging, 6, 280-285.
36.
Toseland, R.
, & Rossiter, C. (1989). Group interventions to support family caregivers: A review and analysis. The Gerontologist, 29, 438-448.
37.
Toseland, R.
, Rossiter, C., Peak, T., & Smith, G. (1990). Comparative effectiveness of individual and group interventions to support family caregivers. Social Work, 35, 209-217.
38.
Vitaliano, P.
, Russo, J., Young, H., Teri, L., & Maiuro, R. (1991). Predictors of burden in spouse caregivers of individuals with Alzheimer's disease. Psychology and Aging, 6, 392-402.
39.
Wasson, J.
, Gaudette, C., Whaley, F., Sauvigne, A., Baribeau, P., & Welch, G. (1992). Telephone care as a substitute for routine clinic follow-up. Journal of the American Medical Association, 267, 1788-1793.
40.
Wood, V.
, Wylie, M. L., & Sheafer, B. (1969). An analysis of a short self-report measure of life satisfaction: Correlation with rater judgements. Journal of Gerontology, 24, 465-469.
41.
Worth, A.
, & Tierney, A. (1993). Conducting research interviews with elderly people by telephone. Journal of Advanced Nursing, 18,1077-1084.
42.
Wright, S.
, Lund, D., Pett, M., & Caserta, M. (1987). The assessment of support group experiences by caregivers of dementia patients. Clinical Gerontologist, 6, 35-39.
43.
Yesavage, J.
, Brink, R., Rose, T., Lum, W., Huang, V., Adey, M., & Leirer, V. (1983). Development and validation of a geriatric depression screening scale. Journal of Psychiatric Research, 17,37-49.
44.
Zarit, S.
, Anthony, C., & Boutselis, M. (1987) Interventions with care givers of dementia patients: Comparison of two approaches. Psychology and Aging, 2(3), 225-232.